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For those of you who work in EDs that use epinephrine auto-injectors (EpiPen, Auvi-Q) for anaphylaxis, at what weight do you typically advance from the EpiPen Junior (0.15mg) to the  EpiPen (0.3mg), and is your practice reflected in your local formulary?

For those of you who work in EDs that use 1:000 epinephrine in a vial for anaphylaxis, do you typically use 0.01 mg/kg dosing, or do you use an alternate dosing strategy (for example, I have a colleague who uses 0.3mg for nearly everyone), and is your practice reflected in your local formulary?

Thanks for your insights,

Julie

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Julie Brown, MD, MPH
Associate Professor, University of Washington
Attending Physician, Pediatric Emergency Medicine,
Seattle Children's Hospital, MB.7.520,
Seattle, WA 98105-0371
Office: (206) 987-4016
Fax: (206) 729-3070



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